Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effect of Rapid Cycle Deliberate Practice Advanced Life Support Simulation Education on Nurse's Performance, Confidence, and Satisfaction

Rapid Cycle Deliberate Practice 전문 소생술 시뮬레이션 교육이 간호사의 수행 능력, 자신감과 만족도에 미치는 효과

  • Received : 2019.07.23
  • Accepted : 2019.11.01
  • Published : 2019.11.30
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Abstract

This study was undertaken to examine changes in the performance of nurses before and after initial cardiac arrest, and compare the performance, confidence, and satisfaction between two groups: group 1, Rapid Cycle Deliberate Practice simulation method; group 2, traditional simulation method. The participants were 122 nurses (group 1: 62, group 2: 60). Data were collected from March 18 to 29, 2019 and analyzed using the SPSS Version 23.0 program, by applying descriptive statistics, Fisher's exact test, t-test, Wilcoxon sign rank test, and Mann-Whitney U-test. Comparing the educational effects of the traditional simulation training vs. RCDP simulation training, some items of performance were significantly different (z=-2.02, p=0.044 / z=-2.42, p=0.015 / z=-3.03, p=0.002), but no difference was observed in the levels of confidence (z=0.388, p=0.699) and satisfaction (t=0.72, p=0.476) between the two groups. This study confirms that both training methods are effective teaching modules for enhancing the nurse's ability to perform resuscitation with confidence. Hence, we suggest applying the appropriate simulation method, according to the subjects included during education, and contents in the training of Advanced Life Support for nurses. Effectiveness of the modules can be ascertained by applying the RCDP simulation training method in various fields.

본 연구는 간호사를 대상으로 초기 심정지 5분 간 수행능력, 자신감 향상을 위해 전통적 시뮬레이션 교육 방법과 Rapid Cycle Deliberate Practice(RCDP) 시뮬레이션 교육 방법을 받은 전·후 변화를 확인하고 두 그룹 간의 수행 능력, 자신감, 만족도를 비교 하고자 시도되었으며 연구 대상자는 서울 소재 병원의 간호사로 그룹 1은 62명으로 RCDP 시뮬레이션 방법을 그룹 2는 60명으로 전통적 시뮬레이션 교육 방법으로 총 122명의 간호사에게 전문 소생술 교육을 진행 하였다. 2019년 3월 18일부터 29일 까지 자료 수집을 하였으며 자료 분석은 SPSS Version 23.0 프로그램으로 서술적 통계, Fisher's exact test, t-test, Wilcoxon sign rank test, Mann-Whitney U-test를 활용하여 분석하였다. 연구 결과 RCDP와 전통적 시뮬레이션 교육의 두 그룹 간에는 수행 능력의 일부 항목(z=-2.02, p=0.044 / z=-2.42, p=0.015 / z=-3.03, p=0.002)은 유의한 차이를 보였으나 수행 자신감(z=0.388, p=0.699)과 만족도(t=.72, p=0.476)에서 두 그룹간의 차이는 없었다. 본 연구는 전통적 시뮬레이션 교육 방법과 RCDP 시뮬레이션 교육 방법 모두 간호사의 전문 소생술 수행 능력 및 자신감을 높이는데 효과적인 교육 방법임을 확인하였다. 따라서 간호사 대상 전문 소생술 교육시 교육 대상 및 내용에 따라 적절한 시뮬레이션 방법을 적용하고 다양한 분야에 RCDP 시뮬레이션 교육 방법을 활용하여 효과성을 확인 해 볼 것을 제언한다.

Keywords

References

  1. Korean Association of CardioPulmonary Resuscitation KALS Committee, Provider Manual of Korea Advanced Life Support(KALS), p.11-194, Koonja Publishers, 2016.
  2. M. A. Hajbaghery, G. Mousavi, H. Akbari, "Factors influencing survival after in-hospital cardiopulmonary resuscitation", Resuscitation, Vol.66, No.3, pp.317-321, 2005. DOI:http://dx.doi.org/10.1016/j.resuscitation.2005.04.004
  3. M. A. Peberdy, W. Kaye, J. P. Ornato, G. L. Larkin, V. Nadkarni, M. E. Mancini, R. A. Berg, G. Nichol, T. Lane-Trultt, "Cardiopulmonary resuscitation of adults in the hospital: a report of 14 720 cardiac arrests from the national registry of cardiopulmonary resuscitation", Resuscitation, Vol. 58. No.3, pp.297-308, 2003. DOI: https://doi.org/10.1016/S0300-9572(03)00215-6
  4. J. Herlitz, A. Bang, B. Alsen, S. Aune, "Characteristics and outcome among patients suffering from in hospital cardiac arrest in relation to whether the arrest took place during office hours", Resuscitation, Vol.53, No.2, pp.127-133, 2002. DOI: http://dx.doi.org/10.1016/S0300-9572(02)00014-X
  5. I. K. Choi, C. Y. Kho, H. J. Choi, "The Effects of the establishment of code-blue team on in-hospital care of patients with cardiac arrest", Crisisonomy, Vol.14, No.4, pp.17-25, 2018. DOI: http://dx.doi.org/10.17000/kspr.25.2.201806.429
  6. S. C. U. Marsch, F. Tschan, N. Semmer, M. Spychiger, M. Breuer, P. R. Hunziker, "Performance of first responders in simulated cardiac arrests", Critical Care Medicine, Vol.33, No.5, pp.963-967, 2005. DOI: http://dx.doi.org/10.1097/01.CCM.0000157750.43459.07
  7. S. S. Kim, B. J. Kim, "Outcomes of in-hospital cardiopulmonary resuscitation according to the in-hospital utstein style in a general hospital", Journal of Korean Clinical Nursing Research, Vol.11, No.2, pp.177-192, 2006.
  8. J. H. Kim, S. J Kang, "Difference of CPR knowledge and confidence to perform related to CPR education experience characteristics among emergency room nurses", Health & Nursing, Vol.30, No.1, pp.55-68, 2018. https://doi.org/10.29402/hn30.1.5
  9. H. D. Lee, S. Y Jung, "Factors related to confidence to perform CPR for nurses", Journal of the Korean Data And Information Science Society, Vol.29, No.2, pp.377-389, 2018. DOI: http://dx.doi.org/10.7465/jkdi.2018.29.2.377
  10. S. H. Chun, Y. H. Oh, S. S. Kim, "Cardiopulmonary resuscitation learning experience, knowledge, and performance in newly graduated nurses", Journal of the Korean Academy of Fundamentals of Nursing, Vol.18, No.2, pp.201-208, 2011.
  11. E. J. Kim, K. R. Lee, M. H. Lee, J. Y. Kim, "Nurses' cardiopulmonary resuscitation performance during the first 5 minutes in in-situ simulated cardiac arrest", Korean Society of Nursing Science, Vol.42. No.3, pp.361-368, 2012. DOI: http://dx.doi.org/10.4040/jkan.2012.42.3.361
  12. G. R. Byun, J. E. Park, H. S. Hong, "The Effects of video programs of cardiopulmonary cerebral resuscitation education", Journal of Korean biological nursing sceince, Vol.17. No.1, pp.19-27, 2015. DOI: http://dx.doi.org/10.7586/jkbns.2015.17.1.19
  13. J. Y. Bang, J. S. Kim, "Effects of a mobile web-based cardiopulmonary resuscitation convergence education for nurses", Journal of the Korea Convergence Society, Vol.9. No.3, pp.307-317, 2018. DOI: https://doi.org/10.15207/JKCS.2018.9.3.307
  14. S. H. An, Effect of Korea Advanced Cardiovascular Life Support based on Simulated Training on Nurses' Confidence and Applicability, Master's thesis, Hanyang University of Clinical Nursing, Seoul, Korea, pp.1-93, 2013.
  15. J. S. Hyun, "Effects of simulation-based ACLS education on self-confidence performance of ACLS among nursing officers", Journal of Military Nursing Research, Vol.30, No.1, pp.100-111, 2012.
  16. A. Cheng, A. Lockey, F. Bhanji, Y. Lin, E. A. Hunt, E. Lang, "The use of high-fidelity manikins for advanced life support training-a systematic review and meta-analysis", Resuscitation, Vol.93, pp.142-149, 2015. DOI: http://dx.doi.org/10.1016/j.resuscitation.2015.04.004
  17. E. A. Hunt, J. M. Duval-Arnould, K. L. Nelson-McMillan, J. H. Bradshaw, M. Diener-West, J. S. Perretta, N. A. Shilkofski, "Pediatric resident resuscitation skills improve after 'rapid cycle deliberate practice' training", Resuscitation, Vol.85, No.7, pp.945-951, 2014. DOI: http://dx.doi.org/10.1016/j.resuscitation.2014.02.025
  18. M. J. Magee, C. Farkouh-Karoleski, T. S. Rosen, "Improvement of immediate performance in neonatal resuscitation through rapid cycle deliberate practice training", Journal of Graduate Medical Education, Vol.10, No.2, pp.192-197, 2018. DOI: http://dx.doi.org/10.4300/JGME-D-17-00467.1
  19. J. Taras, T. Everett, "Rapid cycle deliberate practice in medical education - a systematic review", Cureus, Vol.9, No.4, pp.e1180, 2017. DOI: http://dx.doi.org/10.7759/cureus.1180
  20. M. J. Cory, N. Colman, C. E. McCracken, K. B. ebbar, "Rapid cycle deliberate practice versus reflective debriefing for pediatric septic shock training", Pediatric Critical Care Medicine, Vol.20, No.5, pp.481-489, 2019. DOI: http://dx.doi.org/10.1097/PCC.0000000000001891
  21. Y. M. Park, "The Effects of simulation-based practice on competence and satisfaction in nursing students", Journal of Convergence for Information Technology, Vol.7, No.6, pp.1-7, 2017. DOI: https://doi.org/10.22156/CS4SMB.2017.7.6.001
  22. S. H. Kim, The effect of Simulation-based Advanced Life Support Training for Nursing Students, Master's thesis, Chung-Ang University of Nursing & Health Professions, Seoul, Korea, pp.1-90, 2018.
  23. Y. H. Kim, G. S. Jang, "Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses", Journal of Korean Academy of Nursing, Vol.41, pp.245-254, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.2.245
  24. J. Y. Oh, M. S. Song, J. H. Park, M. A. You, "Effects of simulation-based training on nursing students' knowledge and ability to perform advanced cardiovascular life support", Journal of Korean Critical Care Nursing, Vol.8, No.2, pp.23-32, 2015.
  25. M. D. Herbers, J. A. Heaser, "Implementing an in situ mock code quality improvement program", American Journal of Critical Care, Vol.25, No.5, pp.393-399, 2016. DOI: http://dx.doi.org/10.4037/ajcc2016583
  26. J. M. Kutzin, P. Janicke, "Incorporating rapid cycle deliberate practice into nursing staff continuing professional development", Journal of Continuing Education in Nursing, Vol.46, No.7, pp.299-301, 2015. DOI: http://dx.doi.org/10.3928/00220124-20150619-14
  27. G. Fuller, "Rapid cycle deliberate practice: introducing a novel educational technique in emergency medicine residency simulation training", Annals of Emergency Medicine, Vol.72, No.4, pp.S157, 2018. DOI: http://dx.doi.org/10.1016/j.annemergmed.2018.08.409
  28. D. S. Lemke, E. K. Fielder, D. C. Hsu, C. B. Doughty, "Improved team performance during pediatric resuscitations after rapid cycle deliberate practice compared with traditional debriefing: a pilot study", Pediatric Emergency Care, Vol.35, No.7, pp.480-486, 2019. DOI: http://dx.doi.org/10.1097/PEC.0000000000000940
  29. R. J. Chancey, E. M. Sampayo, D. S. Lemke, C. B. Doughty, "Learners' experiences during rapid cycle deliberate practice simulations: a qualitative analysis", Simulation in Healthcare, Vol.14, No.1, pp.18-28, 2019. DOI: http://dx.doi.org/10.1097/sih.0000000000000324